# COMPLETE WELLNESS CENTER, S.C,

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639350432
- **Authorized official:** DR. KELLY LYNN GERITANO DC (CHIROPRACTIC PHYSICIAN)
- **Authorized official phone:** (708) 614-9800

## Contact information

- **Practice address:** 7060 CENTENNIAL DR, SUITE 102, TINLEY PARK, IL 60477-1643
- **Practice address phone:** (708) 614-9800
- **Practice address fax:** (708) 614-9800
- **Mailing address:** 7060 CENTENNIAL DR, SUITE 102, TINLEY PARK, IL 60477-1643
- **Mailing address phone:** (708) 614-9800
- **Mailing address fax:** (708) 614-9800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | IL | Yes |

## Other

- **Enumeration date:** 11/20/2007
- **Last updated:** 11/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01632592 | BLUE CROSS &BLUE SHIELD | IL |